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Serving the California Marketplace

Individual Dental Insurance

Blue Cross Dental Select HMO Plans

Blue Cross of California offers three affordable dental health maintenance organization plans:

• Dental Saver Select HMO
  
• Dental Select HMO
  
• Dental Premier Select HMO

Each plan has a large network of professionals, and provides access to complete dental care, including cosmetic and specialty care, either as a covered benefit or at a discount.

Regular diagnostic and preventive dental care is essential to maintaining sound oral health. To encourage regular checkups and teeth cleanings, these plans provide these services at a low $5.00 copay. All other benefits are available at low, discounted fees with no deductibles.

These plans provide you and your family with access to important dental care without taking a big bite out of your budget. Call your Participating Dental Office whenever you need dental care. Blue Cross does not limit the number of times you can see your dentist.

These plans provide great savings with features such as:

• Affordable premiums
• $5.00 office visit fee for exams, routing cleanings, and x-rays
• Low out-of-pocket expenses
• No hidden costs
• No deductibles
• No age limitation

Blue Cross Dental Select HMO Provider Network

Only the services you receive from a Blue Cross Dental Select HMO Participating Dental Office are covered by these plans. The quality of the provider network is high, and prospective providers must meet rigorous quality standards throughout the time that the office participates.

How the Plan Works

Benefits are available immediately for many services when provided by a Participating Dental Office, and you won't have to meet a deductible. Most other services are available at a discount from participating dentists and specialists. Each procedure has an associated copayment. You are responsible for paying your network provider at the time service is rendered.

The copayment represents the discounted rate on services for which you are eligible as a plan member. Samples of benefits and applicable copayments are shown below. (See the printable brochure for additional information.)

Dental Service		Dental Saver Select		Dental Select		Dental Premier Select
Office Visit		$5.00		$5.00		$5.00
Oral Exams		No Charge		No Charge		No Charge
X-rays		No Charge		No Charge		No Charge
Topical Fluoride		No Charge		No Charge		No Charge
Filling-1 surface		$54.00		No Charge		No Charge
Scaling/Root Planing		$101.00		$101.00		No Charge
Single Extraction		$60.00		$60.00		No Charge

See the printable brochure for additional benefits and copayment amounts, as well as an application for coverage.

Click HERE to view and/or print the brochure.